HomeMy WebLinkAboutPR20180034098wT) PERMIT #: PR201$0034
CITY OF DIAMOND BAR
COMMUNITY DEVELOPMENT DEPARTMENT
21810 Copley Drive, Diamond Bar, CA 91765
(909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839.7027
DILA IAAgONO BAR BUILDING PERMIT APPLICATION www.cltvofdiamondbar.com budding@diamondbarea.gov
F14.
JOB SITE ADDRESS: 873 LEYLAND DR, DIAMOND BAR, CA 91765
APN 8701019008 LOT# TRACT#
OWNER NAME AUNAS CHRISTIAN C
ADDRESS 873 LEYLAND DR
CITY DIAMOND BAR ZIP 91765 TEL <NO PRIMARY PHONE}
...........
APPLICANT NAME TEL
CONTRACTOR NAME DH Building
ADDRESS 1980 Holt Ave
CITY Pomona STATE CA ZIP 91768 TEL 626 478-5449
ARCHJENG(DES NAME
ADDRESS
CITY STATE CA ZIP TEL
P/C DATE P/C#
ISSUE DATE 141an 2019 PR# PR20180034098
TYPE CONSTRUCTION OCC GROUP
SCOPE OF WORK, Kitchen Extension 24 sq R and Kltshen Remodel 292 sq ft
#DWELLUNITS #STORIES #BEDROOMS
BUILDING FEES
DESCRIPTION
SO FT
FACTOR PSF
ADIAREA/VALUATION
SFR/ADD/REM
GARAGEICARPORT
PATIO/DECK
POOL/SPA
RE -ROOF
COMMERCIAL
TOTAL VALUATION,
TOTAL
$15,370 6000
Electrical
TYPE
QUANTITY
AMOUNT
TOTAL
Lighting Fixtures, Sockets, or Other Lamp Holding Devices
17
$2 35
$39 95
Plumbing
TYPE
QUANTITY
AMOUNT
TOTAL
Plumbing Fixture/Trap or Set of fixtures
1
$1982
$1982
PLAN CHECK FEES
PERMIT FEES
CONSTRUCTION
$41593
PLAN REVIEW
$353 54
ELECTRICAL
$55 76
PLUMBING
$5576
MECHANICAL
INSPECTION FEE
ISSUANCE
$112 36
SMIP
$2 00
ENERGY
$35 35
$41 59
RETENTION FEE
$93 22
PRE/ALT FEE
BASF
$100
PLOT PLAN
ZONING CLEARANCE
$7791
RECYCLING AND WASTE DEPOSIT
TOTAL FEES
$1,244 42
COMMENTS
P/C RECEIPT # PAY METHOD VALIDATION
PERMIT RECEIPT# 42915 PAY METHOD Check 1115456 VALIDATION
PERMIT M PR201810�
INSPECTIONB
SETBACK J LETTER
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TRACK AND LEDGER
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+
FOOTINGS FORMS
T•BAR
SLAB
POOL DEMOLITION
UG PLUMBING
ROOF DRAINS
UG ELECTRICAL
POOL)SPA
UFER GROUND
GAS TEST, EL, PL, ME
SEWER LATERAL
PRE GUNITE
SEWER CLEANOUT
POOL PRE DECK BONDING
MAIN WATER UNE
P-TRAP
ROOF SHEATHING
FENCE I GATE I ALARM
FLOOR SHEATHING
FINAL POOL
SHEAR WALLS EXTERIOR'",%•'//
WALLS
SHEAR WALLS INTERIOR
WALL FOOTINGISTEEL
FRAMINGIVENTING
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WALLSTEELYST(j 2ND{}LIFT
RO MECHANICAL
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WALLDRAINJSEAL
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WALLFINAL
RO PLUMBING
RO FRAMING PLANNING
APPROVAL
INSULATION WALL
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ROUGH FIREAPPROVAL
INSULATION CEILING
FINAL FIRE DEPARTMENT
HOT MOPfSHOW ERPAN
FINAL MANNING.
DRYWALL
FINAL PWENGINEERING
LATH EXRERIOR
FINAL PW MAINTENANCE
LATH INTERIOR
FINAL HEALTH DEPT
GAS TEST
FINAL INDUSTRIAL WASTE
SCRATCH COAT
,z
FINAL BUILDING
ELECTRIC METER RELEASE
FINAL MECHANICAL
GAS METER RELEASE
FINAL ELECTRICAL
SPECIAL INSPECTION
FINALPLUMBING
SMOKE $ CARBON
MONOXIDE DETECTORS
T C OF OCCUPANCY
CERT. OF OCCUPANCY
COMMENTS
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PERMIT #: PR20180034098
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the reason(s) indicated
belo4by the checkmark(s) I have placed next to the applicable item(s) (Section 7031 S, Business and Professions Code Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, pnorto its issuance, also
requires the applicant for the permitto file a signed statement that he or she is licensed pursuant to the provisions of the
Contractors' State License Law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he or she is exempt from licensure and the basis forthe alleged exemption Any violation of Section 70315 by any
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) ]
(_) I as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the
work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code The Contractors'
State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the
property, provided that the improvements are not intended or offered for sale If however, the building or improvement is
sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for
the purpose of sale )
(J I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
Business and Professions Code The Contractors' State License Law does not apply to an owner of property who builds or
improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License
Law.)
(J I am exempt from licensure under the Contractor's State License law for the following reason(s)
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one
year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an
owner -builder if it has not been constructed in its entirety by licensed contractors I understand that a copy of the applicable
law, Section 7044 of the Business and Professions Code is available upon request when this application is submitted or at the
following Web site- http/www leginfo Cal govjcalaw html
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT DATE
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, and my license is in full force and effect
LICENSE CLASS B LICENSE NUMBER 1003083
EXPIRATION DATE CONTRACTOR SIGNATURE,
WORKERS' COMPENSATION DECLARATION:
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO
CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS
i have and will maintain a certificate of consent to self -Insure for workers' compensation, issued by the
Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the
work for which this permit is issued
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
the performance of the work for which this permit is issued My workers' compensation insurance carrier and
policy number are,
CARRIER <Enter Workers Comp> POLICY# EXPIRATION DATE.
NAME OF AGENT 0 PHONE #
I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation
provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions
SIGNATURE OF APPLICANT �L j .� DATE
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is
issued (Section 8172, Civil Code)
LENDER'S NAME
LENDER'S ADDRESS
By my signature below, I certify to each of the following
I am the property owner or authorized to act on the property owner's behalf
1 have read this application and the information I have provided is correct
1 agree to comply with all applicable city and county ordinances and state laws relating to building construction
I authorize representatives of the Gty of Diamond Bar to enter the above -identified property for inspection purposes
SIGNATURE OF PROPERTY OWNER OR AUTHORIZED AGENT AIIsa LI
DATE ll